Skip to main content
Loading…

Seòmar agus comataidhean

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

Criathragan Hide all filters

Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 9 December 2025
Select which types of business to include


Select level of detail in results

Displaying 3543 contributions

|

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Grampian”

Meeting date: 26 November 2025

Richard Leonard

Fine—thank you. I will now invite Colin Beattie to put some questions to you.

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Richard Leonard

The traffic-light system at the end of the report, which indicates which services are exceeding the targets and which are falling below them, is a very useful addition. On the face of it, if a health board was overspending its budget and achieving much better outcomes for its population, one could say that there might be some merit in that, but, in the report, you portray a health board that is overspending its budget and relying on bailout loans from the Scottish Government and which, even then, is still not meeting targets on accident and emergency waiting times and so on.

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Richard Leonard

I am conscious of the time, so I will move things along by inviting Colin Beattie to continue to pursue the fctheme of financial sustainability.

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Richard Leonard

I will now invite Graham Simpson to put some questions to you.

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Grampian”

Meeting date: 26 November 2025

Richard Leonard

Welcome back. We will now turn to agenda item 3, which is consideration of the 2024-25 audit of NHS Grampian, which has warranted the production of a section 22 report. I am pleased to welcome back the Auditor General, Stephen Boyle. I also welcome back Leigh Johnston, who is a senior manager at Audit Scotland. We are joined for this session by Alison Cumming, who is executive director, performance audit and best value, at Audit Scotland.

Before we ask our questions, I invite the Auditor General to make an opening statement.

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Grampian”

Meeting date: 26 November 2025

Richard Leonard

Thank you very much. Of course, the IJB structure was set by legislation passed by this Parliament, so it is very much of interest to us that you are doing further work in this area to see whether the intention has been carried out in the implementation.

I will invite Joe FitzPatrick to put some questions to you.

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Grampian”

Meeting date: 26 November 2025

Richard Leonard

Okay. I will finish where we started. As I understand it, this is the first time in 20 years—two decades—that a section 22 report has been presented to Parliament on NHS Grampian. The final question from me is: what has led us to this point? In the report, you start off by talking about the financial position: the £65.2 million brokerage in the financial year that the audit is from, the loans outstanding being £90 million and so on. If it was just the financial position alone, would that warrant a section 22 report, or is it warranted by a combination of the financial position together with those performance issues, the Healthcare Improvement Scotland inspection of Dr Gray’s in Elgin and the traffic-light performance review attached to the report, which shows there are some major areas of concern in delivery of key treatments? Is it around the bed capacity issue? If it was just performance issues, would there be a section 22 report? If it was just financial issues, would there be a section 22 report? Is it because there are both sets of issues that it warrants, in your view, a section 22 report presented to Parliament to outline your concerns?

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Grampian”

Meeting date: 26 November 2025

Richard Leonard

Okay, thank you. On that key message, we will draw this morning’s evidence session to a close.

Thank you again for the very useful evidence that you have provided for the committee this morning in our consideration of the audit report into NHS Grampian. I thank Alison Cumming, Leigh Johnston and the Auditor General for providing us with lots of food for thought.

I will now, as previously agreed, move the committee into private session. Thank you.

11:54 Meeting continued in private until 12:10.  

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Richard Leonard

Item 2 is consideration of the 2024-25 audit of NHS Ayrshire and Arran. I am very pleased to welcome this morning the Auditor General, Stephen Boyle. Good morning. Alongside the Auditor General are Fiona Mitchell-Knight, who is an audit director at Audit Scotland, and Leigh Johnston, who is a senior manager at Audit Scotland.

We have some questions to put to you on the section 22 report, Auditor General, but before we get to our questions, I invite you to make an opening statement.

Public Audit Committee [Draft]

“The 2024/25 audit of NHS Ayrshire and Arran”

Meeting date: 26 November 2025

Richard Leonard

Thank you very much for that comprehensive summary of the report, which touches on many of the areas that we want to ask you about.

You mentioned in that opening statement—and it is a stand-out conclusion of the report—that NHS Ayrshire and Arran has the highest level of outstanding brokerage of any territorial health board in Scotland. You say in the report that the figure for the audited year 2024-25 was £51.4 million, which represents 4.3 per cent of revenue resource limit.

Can you tell us how that compares with other health boards? Is NHS Ayrshire and Arran a real outlier or are there other health boards that are in a similar position or going in that direction?